巨大前列腺增生治疗两种手术探究

Research of Two Oparations for Big Begin Prostatic Hyptrophy

目的:比较和评价巨大前列腺增生所致下尿路梗阻,开放性前列腺摘除术和经尿道前列腺电汽化术(TuRp)的治疗效果。方法:1996年10月至2002年3月收治耻骨上经膀胱前列腺摘除术(开放组)28例,TuRp术33例。开放组平均年龄72岁,手术切除前列腺重量平均81.6g,TuRp组平均年龄73.4岁,手术切除前列腺重量平均59.2g,两组患者上述指标及术后随诊时间比较,差异无显著性(P>0.05)两组手术均由同一医师操作完成,对比研究两组国际前列腺症状评分(Ipss)最大尿流率(Qmax)残余尿量(PvR)。结果:比较两组Ipss,Qmax,PvR术前差异均无显著性意义(P>0.05)术后差异均有显著性(P均<0.05)。结论:开放手术对巨大前腺增生治疗效果优于TuRp术。

Objective To evaluate open surgery vs transurethral management for bladder outlet obstruction(BOO) cases by big begin prostatic hyperphasia.Methods From October 1996 to march 2002,61 patients were surgically treated.28 of them underwent open surgery and 33 underwent TURP.There was no statistically significant difference between the 2 group in age,disease cause and the excised prostate weight.The two group surgical procedures were conducted by the same urologist.The efficacy of open surgery and TURP was comparatively evaluated by Ipss,Qmax and post viod residual urine volume(PVR) and hospitalization days.Results The postoperative improvement was much greater in the patients undergoing TURP than those undergoing open surgery as assessed by Ipss,Qmax and PVR(all P<0.05).Conclusion It is suggested that open surgery is superior in treatment of patients with BOO caused by big-BPH.